Evidence map›Paper›PMID 40005722›Full record

ArticleMicroorganisms2025

Early Diagnosis and Monitoring of Adaptive Immune Response in a Cohort of Mild Mpox Patients During the 2022 Wave.

Sara Caldrer, Silvia Accordini, Annalisa Donini, Natasha Gianesini, Andrea Matucci, Antonio Mori, Cristina Mazzi, Maddalena Cordioli, Evelina Tacconelli, Niccolò Ronzoni and 4 more

Abstract read
In one paragraph

Article in Microorganisms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sara CaldrerIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0002-2379-1082
Silvia AccordiniIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0003-1857-1429
Annalisa DoniniIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.
Natasha GianesiniIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.
Andrea MatucciIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0001-9368-850X
Antonio MoriIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0003-2845-5931
Cristina MazziCentre for Clinical Research, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0002-4561-3447
Maddalena CordioliDivision of Infectious Diseases, Department of Diagnostic and Public Health, University of Verona, 37134 Verona, Italy.ORCID 0000-0002-4804-2379
Evelina TacconelliDivision of Infectious Diseases, Department of Medicine, Verona University Hospital, 37134 Verona, Italy.
Niccolò RonzoniIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.
Andrea AnghebenIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0003-4545-8034
Chiara PiubelliIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0002-5739-3795
Federico GobbiIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.
Concetta CastillettiIRCCS Sacro Cuore Don Calabria Hospital, Via Don A. Sempreboni, 5, Negrar di Valpolicella, 37024 Verona, Italy.ORCID 0000-0001-9819-236X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study wanted to describe the kinetics of serological and adaptive immune responses in mpox patients.

methodsFourteen patients with laboratory-confirmed mpox were tested at different time points after the symptom onset. An immunofluorescence assay was performed to evaluate the seroconversion kinetics of specific IgA, IgM, and IgG. Moreover, the characterization of the adaptive immunological profile of T- and B-cells was performed.

resultsThe antibody kinetics revealed the faster and more effective seroconversion of specific IgA than IgM. Moreover, we detected an increase in Active memory B cells and CD8+ cells in the early phases of infection, and a reduction in CD4+ T-cells in the mpox patients with respect to the controls and found the presence of higher levels of Treg cells in the HIV+ patients in the early phase of infection.

conclusionOur data highlight the relevance of specific IgA testing early after the symptom onset, suggesting a possible role as a marker in early diagnosis, especially in close contact subjects. Furthermore, the different maturation states of effector cells in HIV+ patients, together with high Treg levels, may lead us to better understand the role of MPXV-HIV co-infection and identify potential cellular markers to monitor the excessive immune activation involved in mpox disease progression.

Indexed as

antibody kineticscellular immunityHIVIgA levelsmpoxnon-endemic countriesTreg

Identifiers

PMID40005722
PMCPMC11858686

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.